Organization
PAVILION LEGACY HOSPICE & PALLIATIVE CARE, LLC
Active
Organization
PAVILION LEGACY HOSPICE & PALLIATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIBSON ERHUNMWUNSE DNP (CHIEF EXECUTIVE OFFICER)
(240) 346-7488
Entity
Organization
Contact information
Practice address
4115 ANNANDALE RD STE 200, ANNANDALE, VA 22003-2500
(240) 346-7488
Mailing address
4115 ANNANDALE RD STE 200, ANNANDALE, VA 22003-2500
(240) 346-7488
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up